Individual provider Active NPI

Adriana Collins

  • Occupational Therapist
  • Maynardville, TN
National Provider Identifier
1982131850
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0000005642 Issued in TN
Practice address
215 Richardson Way
Maynardville, TN 37807-3803
Phone
(865) 992-5816
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000005642TNMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0000005642 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

215 Richardson Way
Maynardville, TN 37807-3803

Mailing address

7811 Emory Chase LN
Knoxville, TN 37918-6148
Phone (915) 222-1480

Other names 1

NPPES NPI Registry
  • Ms. Adriana Martinez Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2017.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1982131850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 EMORY CHASE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379186148",
            "telephone_number": "915-222-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RICHARDSON WAY",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073803",
            "telephone_number": "865-992-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ADRIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "0000005642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "MARTINEZ",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maynardville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.